EmailMe Form - Baptism Registration Form

ARE YOU A REGISTERED PARISHIONER OF ST. PATRICK? *

YES

NO

WOULD YOU LIKE TO RECEIVE INFORMATION ON REGISTERING AS A PARSHIONER OF ST. PATRICK? *

YES

NO

CHILD'S FULL NAME: *

First Middle Last

GENDER: *

Male

Female

CITY AND STATE OF CHILD'S BIRTH (COUNTRY IF OUTSIDE OF UNITED STATES): *

CHILD'S DATE OF BIRTH: *

MM / DD / YYYY

*If your child is 7 years of age or older, please contact the parish office, 244-6083.

WAS THIS CHILD ADOPTED? *

YES

NO

WAS THIS CHILD PREVIOUSLY BAPTIZED? *

YES

NO

If 'YES', please explain the circumstances.

FATHER'S FULL NAME: *

First Middle Last

FATHER'S RELIGION *

MOTHER'S FULL NAME: *

First Middle Last

MOTHER'S MAIDEN NAME: *

MOTHER'S RELIGION *

ADDRESS *

Street Address City State / Province / Region Postal / Zip Code

FATHER'S CELL PHONE *

### - ### - ####

MOTHER'S CELL PHONE *

### - ### - ####

PRIMARY CONTACT EMAIL ADDRESS *

CONFIRM PRIMARY CONTACT EMAIL ADDRESS

DOES THE CHILD TO BE BAPTIZED HAVE ANY SIBLINGS?
IF YES, PLEASE LIST NAMES AND AGES

GODPARENTS-MUST BE PROVIDED AT TIME OF REGISTRATION

PLEASE READ: GODPARENT CRITERIA

Each child to be baptized must have at least one godparent. The godparent must be at least 16 years of age and have fulfilled all three sacraments of initiation - Baptism, Confirmation and Eucharist. BAPTISMAL CERTIFICATES FROM THE PARISH OF RECORD, WITH NOTATIONS, FOR GODPARENTS MUST BE SENT TO ST. PATRICK PRIOR TO BAPTISM.

Also, it is expected that the godparent be an active Catholic in good standing.

A second godparent, who meets the same qualifications as the first, is desirable. If there is a second godparent, each gender must be represented. At least one godparent must be present at the time of Baptism.

It is entirely allowable for each child to have a Christian witness as well. A Christian witness is an adult who is baptized in a Christian tradition other than Catholic and is practicing in that Christian tradition.

The Christian witness, however, is not considered a second godparent but can be listed as a Christian witness in our parish's official sacrament record and on a baptismal certificate.

GODMOTHER NAME:

First MI Last

GODMOTHER MAIDEN NAME (IF APPLICABLE):

GODMOTHER PARISH OF BAPTISM:

GODMOTHER CURRENT PARISH/CITY & STATE:

GODFATHER NAME:

First MI Last

GODFATHER PARISH OF BAPTISM:

GODFATHER CURRENT PARISH/CITY & STATE:

CHRISTIAN WITNESS

First MI Last

CHRISTIAN WITNESS' CHURCH/CITY & STATE:

PARENT PREPARATION:
It is necessary for parents to attend a Baptism preparation workshop prior to the scheduled Baptism. Preparation workshops are offered bi-monthly, on Thursday evening, 6:30pm-8:30pm. Both parents are highly encouraged to attend and are welcome to bring children with them, as appropriate.
Please select a class below: *

June 13, 2024

August 14, 2024

October 10, 2024

Previously Attended

BAPTISMAL DATE:
The Rite of Baptism is held monthly except during Advent and Lent.
(The baptism date must be after the parent preparation session you've selected above.) Please select a baptimal date and mass below: *

If previouly attended, provide month and year:

Is there any other information of which we should be aware to minister to you most effectively?

Submission Date: *

MM / DD / YYYY